Individual
MISS REBECCA MARCELINE JASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 276-4113
Mailing address
601 ELMWOOD AVENUE BOX 667, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23804
NY
363AM0700X
Medical Physician Assistant
Primary
023804
NY
Other
Enumeration date
08/08/2019
Last updated
07/03/2023
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